347 102 doh 2026

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  1. Click ‘Get Form’ to open the 347 102 doh in the editor.
  2. Begin by filling out the 'Patient Information' section. Enter the patient's last name, first name, address, city, state, zip code, date of birth, and contact details including email and telephone.
  3. In the 'Diagnosis - Disease' section, select only one disease from options like Gonorrhea or Syphilis. Ensure to check all applicable sites for testing.
  4. Complete the 'Partner Management Plan' by selecting a method for ensuring partner treatment. Indicate how many partners will be treated.
  5. Finally, fill in the 'Reporting Clinic Information' with details about your facility and the clinician completing the form. Review all entries for accuracy before submission.

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